Director of Finance - Healthcare

Keller Executive Search is partnering with an established nonprofit community health organization to appoint a Finance Director. Operating within the Federally Qualified Health Center (FQHC) sector, our client provides accessible healthcare while navigating complex reimbursement, funding, and regulatory requirements.The Finance Director will oversee all financial operations, including reporting, budgeting, forecasting, reimbursement, cash management, audits, internal controls, and compliance. The role requires strong, hands-on FQHC expertise, particularly in UDS reporting, PPS reimbursement, Medicare and Medi-Cal cost reporting, HRSA requirements, and Sliding Fee Discount Program oversight.Working closely with executive leadership and the Board, the successful candidate will provide strategic financial guidance, lead and develop the finance team, strengthen financial systems and controls, and support the organization's long-term financial sustainability.Key ResponsibilitiesLead the finance department and maintain timely, accurate, and compliant financial operationsDirect monthly, quarterly, and annual close, financial statements, management reporting, and variance analysisLead operating and capital budgeting, forecasting, cash-flow planning, and financial analysisOversee UDS financial and statistical reporting and its reconciliation with accounting and encounter dataDirect Medicare and Medi-Cal cost reporting, reconciliations, settlement reviews, and applicable HCAI reportingLead PPS rate and reimbursement analysis using encounter data, allowable costs, payer trends, and change-in-scope considerationsOversee the financial administration and HRSA compliance of the Sliding Fee Discount ProgramAnalyze payer mix, reimbursement, visit trends, revenue-cycle performance, costs, and financial risksOversee the general ledger, accounts payable, accounts receivable, payroll coordination, and cash managementStrengthen accounting policies, procedures, internal controls, and financial reporting systemsLead audit preparation and serve as the primary finance liaison with auditors, grantors, payers, and regulatorsAdvise executive leadership, operational leaders, and the Board on performance and financial decisionsLead, mentor, and develop finance staff while documenting critical processes and building backup capacityRequirementsBachelor's degree in Accounting, Finance, Business Administration, or a related fieldAt least 7 years of progressive accounting or finance experienceAt least 3 years of healthcare finance leadership or management experienceStrong applied FQHC finance expertise, including UDS, PPS reimbursement, Medicare cost reporting, HRSA requirements, and Sliding Fee Discount Program oversightDemonstrated ability to independently direct a healthcare finance function spanning close, reporting, budgeting, cash management, audits, and controlsStrong knowledge of GAAP, healthcare reimbursement, regulatory financial compliance, and grant-supported operationsStrong analytical, organizational, leadership, and executive communication skillsExisting authorization to work in the United States without employer sponsorshipAbility to work full-time on site in Chula Vista, CaliforniaPreferredThree or more years within an FQHC, community health center, or comparable safety-net healthcare organizationExperience with HCAI reporting, Medi-Cal cost reporting, reconciliations, and settlement reviewHRSA Section 330 grant management, Uniform Guidance, single-audit, or operational site visit experiencePPS rate-setting and change-in-scope analysis experienceFinance leadership across multiple healthcare sites or service linesPrevious direct supervision of finance or accounting staffCPA, MBA, MHA, or another relevant advanced credentialAdvanced Microsoft Excel and accounting or financial reporting systems proficiencyBenefitsSalary: $160000 - $200000 Health, dental, and vision insurance401(k) or retirement plan matchPaid time offLife and disability insuranceRelocation assistanceAgency statementKeller is a recruitment agency serving clients from startups and non profits to multinational corporations, emphasizing ethical search processes, attentive candidate care, and leadership placements that support long-term client outcomes. 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